title: Laryngeal release with slide tracheoplasty for long-segment congenital tracheal stenosis.
abstract: Slide tracheoplasty is a standard treatment for long-segment congenital tracheal stenosis (LCTS). However, in severe cases of LCTS, aggressive divisions of inferior constrictor muscle from the thyroid cartilage and extensive circumferential dissection of the upper tracheal segment are often necessary to mobilize the upper tracheal segment enough to make an anastomosis, but they increase the risks of anastomotic dehiscence, recurrent nerve injury, and impaired deglutition. Alternatively, laryngeal release provides safe mobilization of the upper tracheal segment, minimizing dissection of the inferior constrictor muscle and preserving the lateral tissue pedicle without circumferential dissection. We successfully performed laryngeal release with slide tracheoplasty on six patients with severe LCTS, and report our findings.
authors.affiliation: Department of Surgery, Tokyo Metropolitan Children's Medical Center, 2-8-29 Musashidai, Fuchu, Tokyo, 183-8561, Japan. kouji_komori@tmhp.jp.
authors.forename: Koji
authors.initials: K
authors.lastname: Komori
authors.affiliation: Department of Surgery, Tokyo Metropolitan Children's Medical Center, 2-8-29 Musashidai, Fuchu, Tokyo, 183-8561, Japan.
authors.forename: Miki
authors.initials: M
authors.lastname: Toma
authors.affiliation: Department of Surgery, Tokyo Metropolitan Children's Medical Center, 2-8-29 Musashidai, Fuchu, Tokyo, 183-8561, Japan.
authors.forename: Naoki
authors.initials: N
authors.lastname: Shimojima
authors.affiliation: Department of Surgery, Tokyo Metropolitan Children's Medical Center, 2-8-29 Musashidai, Fuchu, Tokyo, 183-8561, Japan.
authors.forename: Yuki
authors.initials: Y
authors.lastname: Yamamoto
authors.affiliation: Department of Surgery, Tokyo Metropolitan Children's Medical Center, 2-8-29 Musashidai, Fuchu, Tokyo, 183-8561, Japan.
authors.forename: Keiichi
authors.initials: K
authors.lastname: Uto
authors.affiliation: Department of Surgery, Tokyo Metropolitan Children's Medical Center, 2-8-29 Musashidai, Fuchu, Tokyo, 183-8561, Japan.
authors.forename: Satsuki
authors.initials: S
authors.lastname: Ogata
authors.affiliation: Department of Surgery, Tokyo Metropolitan Children's Medical Center, 2-8-29 Musashidai, Fuchu, Tokyo, 183-8561, Japan.
authors.forename: Motohiro
authors.initials: M
authors.lastname: Kano
authors.affiliation: Department of Surgery, Tokyo Metropolitan Children's Medical Center, 2-8-29 Musashidai, Fuchu, Tokyo, 183-8561, Japan.
authors.forename: Seiichi
authors.initials: S
authors.lastname: Hirobe
mesh_terms: D003251:Constriction, Pathologic / Q000175:diagnosis / Q000601:surgery*; D005260:Female; D006801:Humans; D007223:Infant; D007830:Larynx / Q000601:surgery*; D008297:Male; D019651:Plastic Surgery Procedures / Q000379:methods*; D014132:Trachea / Q000002:abnormalities* / Q000601:surgery*
keywords: Laryngeal release; Long-segment tracheal stenosis; Slide tracheoplasty; Suprahyoid release